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Tobacco use also decreases saliva production and bicarbonate content, eliminating important natural buffers against acid exposure
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Another common smoking related disease is chronic bronchitis, which has similar symptoms as emphysema
Results in Real Numbers Sphincter pressure reduction : 40% decrease in lower esophageal sphincter pressure in smokers Increased relaxation frequency : 3-fold increase in transient lower esophageal sphincter relaxations Impaired acid clearance : 50% longer esophageal acid clearance times in smokers Reduced saliva production : 30% decrease in saliva flow rate and bicarbonate content Increased reflux episodes : 2-3 times more reflux episodes per hour in smokers Symptom severity : 60% higher symptom scores in smoking GERD patients Safety, Limits, and Caveats The study examined acute and chronic effects of smoking but didnt extensively assess the reversibility of these mechanisms after smoking cessation
So, to whom do we give credit for the fitted sheet
